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Re: I NEED OPINIONS!

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>

> I did'nt go back to the dermatologist yesterday because his nurse

had

> called and told me that both biopsies were negative (Dale and I

> removed my stitches). I asked her to

> send me a copy of the path report...which I got today....and now I

am

> kind of worried. I am going to go ahead and reschedule an

appointment

> with the derm. In the meantime I would like ya'lls opinions. Here is

> the dianosis part of the path report:

>

> The Histologic differential diagnosis includes: Atypical lichen

> planus, lichenoid photodermatitis, lichenoid drug eruption,

pitriasis

> lichenoides and lichenoid pegmented purpura dermatosis. ALTHOUGH I

DO

> NOT FAVOR THE DIAGNOSIS, BECAUSE OF SIGNIFICANT EXOCYTOSIS INTO THE

> OVERLYING EPIDERMIS, CUTANEOUS T-CELL LYM0PHOMA, MYCOSIS FUNGOIDES

> SHOULD BE CONSIDERED.Clinical-Pathological correlation is

recommended.

>

> so what do ya'll think?

> Hugs,

> Katy

>

Katy,

I'd talk with your Derm about the next steps. Seems to me the

pathologist has the tissue samples to test for CTCL. Maybe some

additional work-up to rule it out. You can also request that another

pathologist check it out. Sort of like a second opinion.

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